Proposed fee schedule round-up: Payment, policy, coding changes

Why This Topic Matters

The proposed rule could affect reimbursement, documentation, reporting workflows, and service availability across physician practices and outpatient settings. Readers can use the article to quickly identify which CMS proposals may be relevant to their specialty, coding team, or administrative operations before final rules are issued.

Article Sections

1. Payment changes

   Overview of proposed Medicare payment updates affecting physician services, drugs, outpatient settings, and selected procedure-related items. Also covers changes tied to fee schedule values and service-specific pricing updates.

2. Policy changes

   Coverage of proposed documentation and billing policy revisions, including home visits, same-day encounters, therapy reporting, telehealth expansion, supervision rules, imaging criteria, and quality reporting programs. The section also touches on interoperability and related CMS requests for comment.

3. Coding changes

   Summary of proposed coding-related reviews and additions, including revaluation nominations and low-volume service list updates. The section highlights code areas across multiple specialties without detailing code selection or payment logic.